| NPI | 1295103091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3016694) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 108398) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2021-10-29 |